Inspection on 26/09/05 for Langdon Foundation

This inspection was carried out on 26th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 11 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Langdon Foundation 23/01/08

Langdon Foundation 09/11/06

Langdon Foundation 02/02/06

Langdon Foundation 10/03/05

Langdon Foundation 20/01/05

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Langdon Foundation Langdon College 24/26 Tewkesbury Drive Prestwich Manchester M25 0HG Lead Inspector Julie Bodell Unannounced Inspection 26th September 2005 10:30 Langdon Foundation DS0000008456.V251303.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Langdon Foundation DS0000008456.V251303.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Langdon Foundation DS0000008456.V251303.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Langdon Foundation Address Langdon College 24/26 Tewkesbury Drive Prestwich Manchester M25 0HG 0161 773 4070 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) admin@langdoncouese.ac.uk Langdon Foundation Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Langdon Foundation DS0000008456.V251303.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Within the maximum registered number (8) there can be up to 8 Adults with Learning Disabilities (LD). Term time only. The service should employ a suitably qualified and experienced Manager, who is registered with the Commission for Social Care Inspection. 10th March 2005 Date of last inspection Brief Description of the Service: The Langdon Foundation is a Jewish organisation, which is split into two areas, Langdon Community and Langdon College. At the time of the last inspection the property was registered under Langdon Community, which provides long stay twenty-four hour residential care for young Jewish adults with learning disabilities. There is currently a variation in place as the property has now reverted back to Langdon College. Langdon College is the only Jewish specialist residential college for students with learning disabilities in the country, providing twenty-four hour care for students thirty eight weeks a year and with the exception of one student, term time only. Some students are below the age of nineteen and in fulltime education and are therefore legally defined as children under the Children’s Act. The accommodation comprises two semi-detached houses, which are not interlinked. Access between the houses is via the rear doors. Communal areas within the houses are shared and all bedrooms are single. The houses are situated close to a variety of community facilities, which are within easy walking distance. As the Prestwich area houses a large Jewish community, there is easy access to, synagogue, Kosher food shops and community resources. Public transport is available a short walk to the main road. Langdon Foundation DS0000008456.V251303.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place on a Monday morning, starting at Langdon College and later a brief visit to Tewksbury Drive. On arrival at the College the inspector was informed that the new acting manager was involved in interviewing for new members of support staff for Tewksbury Drive. The inspector observed the seven young people within the college setting. They all appeared relaxed and happy and were busy with lessons and involved in preparations for the Jewish New Year. The main focus of the inspection was to meet with the newly appointed manager and look at what action had been taken in respect of requirements made at the previous inspection. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Langdon Foundation DS0000008456.V251303.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Langdon Foundation DS0000008456.V251303.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): A copy of each students initial assessment must be kept on the students care file, to ensure that the staff team have all the relevant information to devise a care plan and that gives clear instruction to staff members as to how they are to support the student. EVIDENCE: All students are admitted and funded through the Learning and Skills Council therefore LACS documentation is not provided in this case. The college undertakes their own assessment. The file belonging to the most recent student living at Tewkesbury Drive was examined. It did not contain a copy of the assessment. The acting manager said that this information is retained at the college. The inspector requested that a copy of the assessment be held on the students care file at Tewksbury Drive so that it is available for the staff team to use. This is an outstanding requirement and will be checked at an additional visit planned for 21.12.05 Langdon Foundation DS0000008456.V251303.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): An improvement is noted in record keeping. The staff team have received training in the importance of record keeping and the law, from the acting manager. Some work is needed to further improve risk assessments. EVIDENCE: The inspector examined the risk assessments, which form part of the care and support plan. The scoring assessment that is used as a gauge from no support required to direct physical support has been changed to make a clearer assessment of low, medium and high level of need and matches the education grading system. At the last inspection it was clear from discussion and written information that there were restrictions in place for some students. The then registered manager has addressed the issues from that report however following discussion with the new acting manager it was clear that further improvements could be made. The inspector examined a number of students’ risk assessments. Risk assessments were in place, and again had been reviewed by the previous registered manager in respect of detail and clarity of the content. Again following discussion with the new acting manager it was felt that the risk assessments could be further improved. These are outstanding requirements and will be checked at an additional visit planned for 21.12.05. Langdon Foundation DS0000008456.V251303.R01.S.doc Version 5.0 Page 9 The practice of using group files, which does not comply with Data Protection, has now ceased. Risk assessments are held on individual care files and are securely held. The acting manager has changed the format of student files. There are plans in place to electronically hold the care and support plans. The staff members sign to show that they understand the content of the support plan and risk assessment. More detail is now included in the daily record sheet and staff members have been given training in the importance of recording in respect of legal documents i.e. the difference between fact and opinion, no gaps, continuity, no Tippex etc. The introduction of an “All about me” plan will help students to become more involved in the care planning process. An ABC chart has also been introduced to give more information about any incidents that may occur, as well as a family and professional contact sheet and healthcare booklet. The acting manager will closely monitor records. The acting manager has looked at ways of improving communication between the Langdon College and Tewkesbury Drive. A detailed handover sheet has been introduced which transfers between the two sites. A logbook has also been introduced at Tewksbury Drive. Langdon Foundation DS0000008456.V251303.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Not assessed at this inspection. It is intended that following the planned initial visit on 21.12.05 an announced visit that will look at all the standards will be undertaken in early February 2006. Langdon Foundation DS0000008456.V251303.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): An improvement is noted in recording procedures in respect of healthcare since the last inspection. EVIDENCE: At the last inspection, following examination of records and discussion with the previous registered manager, the inspector felt that there was a need for clearer records of healthcare appointments to be maintained, particularly for those students with ongoing health issues that are complex. This has been done. As students reside at Tewkesbury Drive term-time only most students retain their dentist and optician at home, there are however emergency arrangements in place. All students are registered with a local G.P. A new medicine cabinet has been purchased. The inspector is to request a routine announced visit from a CSCI pharmacist inspector. Langdon Foundation DS0000008456.V251303.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): There are outstanding requirements in both standards that must be addressed within the timescale. EVIDENCE: At the last inspection the complaints procedure was identified as needing to include the address of the Commission for Social Care Inspection to ensure that it is in line with Regulation 22. The acting manager said that this had been done and a copy would be forwarded to the CSCI. Also identified was the need for more clarity in respect of how internal procedures link into the Local Authority Child and Adult Protection Policies. This is confusing because the College and Tewksbury Drive are in different Local Authorities. Tewksbury Drive has a copy of the Local ACPC procedures. This remains outstanding though the new acting manager who has experience in child protection has plans to address this matter at the Colleges next in-set day. These are outstanding requirements and will be checked at an additional visit planned for 21.12.05. Langdon Foundation DS0000008456.V251303.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Not assessed at this inspection. Langdon Foundation DS0000008456.V251303.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): There are outstanding requirements in recruitment and training records. EVIDENCE: As required at the last inspection, qualification and training certificates of staff members are being brought in to Langdon College for scrutiny and a copy to be retained on file. The acting manager is in the process of updating the training records of staff members to gain an overall picture of the competencies and needs of the staff team. The new acting manager is changing the present roster, so that it clearly identifies the staff members working, and demonstrates the accurate hours that they worked. This must also include the registered manager, at Tewkesbury Drive. Copies of the rota must also be retained in accordance with the Regulations. At previous inspections, the inspector required that support workers recruitment records meet the requirements of Schedules 2 and 6 of the Regulations. The inspector acknowledged that there was a considerable amount of work to be undertaken to bring these into line with the Regulations. This work needed to be undertaken as a matter of urgency as a basic safeguard in the protection of students, some of who are still legally defined as children. The acting manager is currently developing induction and health and safety training and training records. These are outstanding requirements and will be checked at an additional visit planned for 21.12.05. Langdon Foundation DS0000008456.V251303.R01.S.doc Version 5.0 Page 15 Langdon Foundation DS0000008456.V251303.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): A new and experienced acting manager is in place. An application to become registered must now be received by the Commission. The inspector is confident that the acting manager has the skill and the knowledge to address all the outstanding matters raised in this report and time to undertake the tasks must be ensured by the provider. EVIDENCE: Since the last inspection the previously registered manager has left the organisation. The acting manager has only been in post for a short time. The acting manager holds a NVQ Level 4 in Care, NVQ Level 5 in Operational Management, holds a D32/33 Assessors Award, IOSH and NEBS. She has many years experience of working with children and young people with learning disabilities in both residential and an FE specialist college, and was a registered manager in her previous post. An application to become registered manager for Langdon College must be made to the Commission. The inspector is confident from discussion, that the new acting manager will be able to fulfil the roles and responsibilities of the post and has already made Langdon Foundation DS0000008456.V251303.R01.S.doc Version 5.0 Page 17 some headway. The organisation must ensure that she is given the appropriate amount of time needed to make progress on requirements that have been outstanding in some cases for some considerable time. The deadline for these requirements is now set for 21.12.05. Langdon Foundation DS0000008456.V251303.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 2 X X X Standard No 22 23 Score 2 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 2 X 2 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 2 2 2 2 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Langdon Foundation Score X 3 X X Standard No 37 38 39 40 41 42 43 Score 2 X X X X X X DS0000008456.V251303.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement That a copy of the students initial assessment conducted by the college is retained on each students file at Tewksbury Drive. (Outstanding) That where restrictions are in place in respect of students, clear risk assessments are in place, that were appropriate include the agreement of the service user and a third party representative. (Outstanding) That risk assessments are reviewed, with attention to the detail and clarity of the content. (Outstanding) That the complaints procedure includes the contact details of the C S C I. (Outstanding) That there is a clear link between the internal child protection procedure and the appropriate local authority procedures. (Outstanding) That staff members receive child protection training from the local authority child protection team. (Outstanding) That a copy of all relevant qualifications and training certificates DS0000008456.V251303.R01.S.doc Version 5.0 Timescale for action 21/12/05 1 YA2 14 2 YA7 13 21/12/05 3 YA9 13 21/12/05 4 YA22 22 31/10/05 5 YA23 13 & 32 21/12/05 6 YA23 13 & 32 21/12/05 7 YA32 17 21/12/05 Langdon Foundation Page 20 are retained on staff personnel files. (Outstanding) That the present roster clearly demonstrates the accurate hours worked and the identity of the staff members, including the registered manager, working at Tewkesbury Drive. (Outstanding) That support workers recruitment records meet the requirements of Schedules 2 and 6 of the Regulations. (Outstanding) That clear training records for staff members are maintained. (Outstanding) That the acting manager completes the fit person process. 8 YA33 17 21/12/05 9 YA34 19 21/12/05 10 YA35 18 21/12/05 11 YA37 9 21/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Langdon Foundation DS0000008456.V251303.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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